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DSE Self Assessment
Question 1: Do you use DSE in your work on a daily basis?
Yes
No
Question 2: Do you use DSE for continuous or near continuous spells of two house or more at a time?
Yes
No
If answers No to both of these can the questions then end?
Question 3: Does the majority of your display screen work involve the use of a standalone portable laptop computer?
Yes
No
Screen
Question 4: Is your screen located in front of you when using the equipment?
Yes
No
Comment
Question 5: Is the top of your screen level with your eyes?
Yes
No
Comment
Question 6: Can your screen tilt and be adjusted to a comfortable position?
Yes
No
Comment
Question 7: Is your screen free of reflection? E.g. windows, overhead lighting?
Yes
No
Comment
Keyboard
Question 8: Can your keyboard be moved to a comfortable position in front of you?
Yes
No
Comment
Question 9: Is there enough room in front of the keyboard to rest your wrists when using your keyboard?
Yes
No
Comment
Question 10: Are your keyboard symbols clear and legible?
Yes
No
Comment
Mouse
Question 11: Can you operate the mouse / trackball without stretching?
Yes
No
Comment
Question 12: Can you operate the mouse / trackball with your hand / wrist resting on your desk?
Yes
No
Comment
Question 13: Is there adequate space to manoeuvre your mouse?
Yes
No
Comment
Chair
Question 14: Is the height of your chair adjustable?
Yes
No
Comment
Question 15: Is the backrest adjustable for height and tilt?
Yes
No
Comment
Question 16: Do you know how to adjust the height of your chair? Backrest?
Yes
No
Comment
Question 17: Is your chair fitted with arms?
Yes
No
Comment
Question 18: If your chair is fitted with arms…. When your chair is correctly adjusted do the arms come into contact with the desk?
Yes
No
Not Applicable
Work Station
Question 19: Is there adequate work surface to allow flexible arrangement for your screen, keyboard and mouse?
Yes
No
Comment
Question 20: s there adequate knee room to obtain a comfortable position?
Yes
No
Comment
Question 21: Do you have adequate lighting?
Yes
No
Comment
Question 22: Do you have adequate humidity in the atmosphere?
Yes
No
Comment
Question 23: Is your work arranged so that there are breaks away from DSE?
Yes
No
Comment
Question 24: When positioned to use the keyboard are your upper arms in line with your upper body?
Yes
No
Comment
Question 25: With your fingers on the keys are your wrists straight?
Yes
No
Comment
Question 26: When in this position is your back supported by your backrest?
Yes
No
Comment
Question 27: Do your feet rest comfortably on the floor without the seat digging into the back of your knees/thighs?
Yes
No
Comment
Your Health
Question 28
Have you had your eyes tested for use with DSE?
Yes
No
Comment
Question 29: Have you ever suffered from work related aches or pains in your:
Wrists
Forearms
Neck
Eyes
Back
Question 30: Have you ever suffered from epilepsy or regular migraines?
Yes
No
Comment
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